URMC Emergency Department
In March 2001, Strong Memorial Hospital opened its doors on a new Emergency Department. This design has served as an international model for other emergency department's. Most recently, the ED has been enhanced and expanded with two state-of-the-art additions: a Burn-Trauma ICU and Pediatric Intensive Care/Pediatric Cardiac Care ICU's.
The Emergency Department contains approximately 120 beds. It incorporates several different, yet interconnected sections, each of which are stand-alone Emergency Departments. These sections include the following
Critical Care Bay
- Adult Emergency Department
- Critical Care Bay (All activated traumas are seen here)
- Pediatric Emergency Department
- Urgent Care Area
- Emergency Psychiatry (CPEP)
- Observation Unit (27-Beds)
- Emergency Radiology Suite (2 CT scanners dedicated to the ED patient)
A helicopter landing pad is located on the roof of the hospital, with direct elevator access to the ED.
There are two patient entrances, both staffed by security personnel. The EMS entrance-way is within easy access to the Critical Care Bay, and there is an isolated entrance room for HAZ/MAT and bio-terrorism decontamination. A dedicated elevator runs from the 9th-floor helipad to the back of the Critical Care bay.
Patient rooms are located on the outside wall of the oval, with an elevated central area for health care staff. Almost all of the rooms are visible from this central work area, and the monitors in each room are continuously viewed from this central location. In addition, there are two dedicated rooms for obstetrical and gynecologic treatment and evaluation.
The Urgent Care Area sees minor injuries and quick treat and release patients. Residents rotate in this area for dedicated time caring for minor injuries and common procedural competencies. This area is primarily staffed by mid-level providers,faculty, and residents.
Pediatric Emergency Department
The Pediatric Emergency Department is run by the Department of Emergency Medicine. It is staffed by both Emergency Medicine and Pediatric Emergency Medicine Fellowship trained attending's. Dedicated Peds-EM nurses provide specialized, high-quality pediatric emergency care. The Department is shaped in a semi-circular design, enabling staff to visually monitor every room from a central work area. A DVD/television is included in each room to help keep young patients occupied. Child-life specialists provide access to toys and books and dispense plenty of TLC to distract and entertain children while they are in our care.
One of the highlights of the Emergency Department is the large Critical Care Bay, containing seven large treatment bays. The facility is commensurate with Strong Memorial Hospital's status as a Regional Trauma Center. It is staffed around the clock with a 2nd or 3rd year EM resident, 2-3 nurses, and a patient care tech. Each trauma bay is stocked with all major equipment necessary for a major trauma or medical emergency. Two of the trauma bays are equipped with overhead radiology. Additionally, two CT's and other radiology suites are readily accessible at the rear of the bay through a sliding door. There is ample room in these bays to accommodate portable ultrasound, as well as ventilators and teams involved in major resuscitations.
The 24-bed Observation Unit is housed above the Emergency Department. and is run by the Department of Emergency Medicine. These patients are in-house for less than 24 hours and provides us with outstanding access to intermediate care.
Psychiatric emergencies are dealt with by medical clearance in the Emergency Department and definitive psychiatric care is delivered by the Department of Psychiatry in a dedicated Psychiatric Emergency Department (CPEP).